List of Attachments and Technical Exhibits USE.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- ENTERPRISE HEALTH UNIT SERVICES
- Solicitation number
- 70LGLY26RGLB00005
About this file
This file is a list of attachments and technical exhibits for a Request for Proposal (RFP) for Enterprise Health Unit Services at the Department of Homeland Security Federal Law Enforcement Training Centers (FLETC). The solicitation, numbered 70LGLY26RGLB00005, seeks health services for four Training Delivery Points located in Glynco, Georgia; Artesia, New Mexico; Charleston, South Carolina; and Cheltenham, Maryland. This is a competitive Woman-Owned Small Business Set-Aside with an anticipated single award, fixed-price, Requirements-type contract and task orders for each site. The NAICS code is 621999 (All Other Miscellaneous Ambulatory Health Care Services) with a small business standard of $20.5 million.
The attachments include critical forms and documentation such as FLETC Statement requirements (FTC-SEM-34), motor vehicle accident reports (Standard Form 91), witness statements (Standard Form 94), notifiable disease reporting, survey reports, medical clearance requests, health questionnaires, OSHA recordable injury tracking, physical performance requirements, and a pricing table for submission. Technical exhibits encompass a Quality Assurance Surveillance Plan, Performance Requirement Summary, student and staff historical population health data across all sites, a formulary for all locations, Service Contract Act wage determinations for each county, accountable and non-accountable Government-Furnished Property (GFP) inventories, historical work request data, and OSHA recordable injury documentation. These materials establish the operational requirements, health service standards, compliance tracking mechanisms, and resources necessary for contractor performance across all four FLETC locations.
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Sheet1 List of Attachment and Technical Exhibits
| Designation | Attachments | # of Pages |
| Part 9, Attachment 1 | FTC-SEM-34 FLETC Statement -Fillable | 1 |
| Part 9, Attachment 2 | Standard Form 91, Motor Vehicle Accident Report | 5 |
| Part 9, Attachment 3 | Standard Form 94, Statement of Witness | 3 |
| Part 9, Attachment 4 | Notifiable Disease Condition Reporting | 3 |
| Part 9, Attachment 5 | FTC-ALM-44 (11/22) Survey Report | 2 |
| Part 9, Attachment 6 | FTC-ALM-46 (3/22) Move Order | 2 |
| Part 9, Attachment 7 | Against Medical Advice (AMA) Form | 1 |
| Part 9, Attachment 8 | FLETC Form 066-01-01 Request for Respirator Medical Clearance | 1 |
| Part 9, Attachment 9 | Students Referred to Specialists - Weekly Report - Blank Form | 1 |
| Part 9, Attachment 10 | FLETC Form 500-14-01 Health Questionnaire | 1 |
| Part 9, Attachment 11 | FLETC Form 254-01-01 Employee On-Duty Fitness Program Privacy Act | 6 |
| Part 9, Attachment 12 | Weekly OSHA Recordable Injuries and Illnesses - Blank Form | 1 |
| Part 9, Attachment 13 | FLETC Form 500-14-04 Trainee Restriction Status | 1 |
| Part 9, Attachment 14 | FLETC Form 066-01-20 Injury Information | 1 |
| Part 9, Attachment 15 | Skin and Soft Tissue (SSTI) Monitoring & Tracking - Blank Form | 1 |
| Part 9, Attachment 16 | Rhabdomyolysis Monitoring & Tracking Blank Form | 1 |
| Part 9, Attachment 17 | Refrigerator Temperature Log for Twice Daily Readings Blank Form | 1 |
| Part 9, Attachment 18 | DHS Form 11000-6, Non-Disclosure Agreement | 3 |
| Part 9, Attachment 19 | FLETC Form 500-14-02 - Physical Performance Requirements (PPRS) | 14 |
| Part 9, Attachment 20 | Medication Inventory PAR levels all sites | 6 |
| Part 9, Attachment 21 | Pricing Table Excel Spreadsheet for Price Submission | 1 |
| Designation | Technical Exhibits | # of Pages |
| Part 9, Technical Exhibit 1 | Quality Assurance Surveillance Plan (QASP) | 18 |
| Part 9, Technical Exhibit 2 | Performance Requirement Summary (PRS) | 4 |
| Part 9, Technical Exhibit 3-1 thru 3-12 each with 8 tabs | Student and Staff Historical Population Data & Health Statistics | 12 |
| Part 9, Technical Exhibit 4 | Formulary - All Sites | 11 |
| Part 9, Technical Exhibit 5 | SCA WD 2015-4281 Rev 36 Prince George's County, Maryland | 10 |
| Part 9, Technical Exhibit 6 | SCA WD 2015-4427 Rev 33Charleston County, South Carolina | 10 |
| Part 9, Technical Exhibit 7 | SCA WD 2015-4477 Rev 34 Glynn County, Georgia | 10 |
| Part 9, Technical Exhibit 8 | SCA WD 2015-5455 Rev 30 Eddy County, New Mexico | 10 |
| Part 9, Technical Exhibit 9 | Glynco Accountable & Non Accountable GFP | 16 |
| Part 9, Technical Exhibit 10 | Artesia Accountable & Non Accountable GFP | 9 |
| Part 9, Technical Exhibit 11 | Charleston Accountable & Non Accountable GFP | 2 |
| Part 9, Technical Exhibit 12 | Historical Data Service Contract Work Requests (SCWRS) by Items | 1 |
| Part 9, Technical Exhibit 13 | OSHA 300, 300A, & 301 Forms - OSHA Recordable Injuries and Illnesses | 12 |
| Part 9, Technical Exhibit 14 | Deliverables/Submittals | 3 |
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